Efficacy of Beclomethasone Dipropionate in Lowering Fecal Calprotectin Levels in Patients with Ulcerative Colitis in Clinical Remission and at Risk of Relapse: The Becalcu Randomized, Controlled Trial.

Autores de IIS La Fe

• 

  Pilar Nos Mateu

  Autor

• Marisa Iborra Colomino

  Autor

Participantes ajenos a IIS La Fe

• Ginard, D
• Barreiro-de Acosta, M
• Moraleja, I
• Munoz Nunez, Fernando
• Aldeguer, X
• Echarri, A
• Villoria, A
• Riestra, S
• Bosca Watts, Marta Maia
• González-Lama, Y
• Royo, V
• Ferreiro-Iglesias, R
• Elorza, A
• Fernandez-Pordomingo, A
• Sans, M
• Becalcu Study

Grupos

• Enfermedad Inflamatoria Intestinal

Abstract

INTRODUCTION: Identifying novel treatment strategies for patients with ulcerative colitis (UC) and at risk of relapse is critical. The objective of this study was to assess the efficacy of beclomethasone dipropionate (BDP) in lowering fecal calprotectin (FC) levels in UC patients in clinical remission and at risk of relapse. METHODS: This multicenter study comprised a double-blind, randomized, placebo-controlled phase (part I) and an open-label, non-randomized phase (part II). Eligible participants with UC in clinical remission treated with 5-aminosalicylic acid and with FC levels =250 mug/g were randomized to receive 5 mg/day of BDP or placebo for 4 weeks (part I). At week 5, patients with FC =100 mug/g were treated with 5 mg/day of BDP for 4 weeks (part II), and FC levels were tested at week 9. RESULTS: Forty-three patients were randomized: 22 received BDP (group A) and 21 placebo (group B). At week 4, 13 patients (59.1%) in group A and 3 (17.6%) in group B had FC levels <100 mug/g (p value = 0.010). In the double-blind phase of the study, no patient relapsed in group A and 4 in group B (p value = 0.049). Both treatment groups showed a favorable safety profile, with the most common adverse events being gastrointestinal disorders. CONCLUSION: In this multicenter, randomized clinical trial including patients with UC in clinical remission but with elevated FC, BDP was efficacious in reducing FC and well-tolerated.

Keywords

• Ulcerative colitis; Fecal calprotectin; Beclomethasone dipropionate; Remission